Individual
DR. ALISHA BROOKE BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4610 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 713-7251
(336) 713-0306
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023-02252
NC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
2023-02252
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
02/10/2026
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